596 The Limbs as a Whole. 



the foot dropped out. The leg was afterwards amputated below the 

 knee. 



The foot had become gangrenous from constriction, and 

 had separated by natural processes at the lower epiphyseal lines 

 of the tibia and fibula. G. C. 3140. 



Presented by Macdonald Bkown, F.R.C.S.E., 1890, 



11. 76. Traumatic Gangrene, uncomplicated by Sepsis. 



— Little finger — in spirit, illustrating the above. 



The patient was a mill girl, whose hand had been severely crushed 

 by machinery. 



The injured hand was treated bj' immersion in an antiseptic bath, 

 and septic fermentation was entirely obviated. The finger was removed 

 several days after the injury by clipping through some remaining tags of 

 skin and tendon. 



G. C. 3102. 

 Presented by D. A. Carruther.s, M.D., 1888. 



11. 77. Traumatic Gangrene, complicated by Sepsis.— 



Gelatine and glycerine cast of a right leg and foot, illustrating 

 the above. 



The patient, a strong labourer, had his foot crushed by the fall 

 of a heavy stone, and he was admitted to the Royal Infirmary, Edinburgh, 

 on the same night. The next morning the foot was cold, and gangrene 

 was feared. By the fourth morning after the accident, gangrene of the foot 

 had become pronounced, and as it seemed to be spreading up the leg, ampu- 

 tation was performed above the knee. The patient made a good recovery. 



The tissues in the foot were decomposing. The posterior 

 tibial artery was found to be ruptured, the soft parts much 

 bruised, and the os calcis crushed, while there was a severe 

 Pott's fracture of the fibula Avith wrenching off of the inner 

 malleolus. See ^o. 3. 313. 



The cast shows the discolouration of the foot, the blebs 

 which appeared, and the peeling off of the epidermis. Above 

 the ankle there were several blebs and much discolouration. 

 Tnis, it was feared, showed advancing gangrene, but it may 

 have been due only to extensive extravasation. G. C. 2850. 

 Presented by Charles W. Cathcart, F.R.C.S.E. 



